Comparison of butorphanol and thiopentone vs fentanyl and thiopentone for laryngeal mask airway insertion

Chari, Pramila; Ghai, Babita

doi:10.1016/j.jclinane.2005.04.007

Cited by 15 publications

(19 citation statements)

References 14 publications

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“…In our study the propofol requirement was significantly less in butorphanol group as compared to fentanyl group. Supporting our study, the mean dose of thiopentone required in the study conducted by Chari P et al 13 was significantly less in butorphanol group compared to fentanyl group. They also found significantly less apnea time in butorphanol group (96.66%) as compared to fentanyl group (76.66%) as shown by our results.…”

Section: Figure 1csupporting

confidence: 86%

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FENTANYL & BUTORPHANOL AS CO - INDUCTION AGENTS FOR LMA INSERTION: A COMPARATIVE STUDY

Doshi¹,

Phadtare²,

Ahluwalia³

et al. 2015

jebmh

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Co Induction Agents for LMA. BACKGROUND: A randomized double blind comparative study was done to assess the effectiveness of fentanyl & butorphanol as coinduction agents with propofol for insertion of Laryngeal Mask Airway (LMA) in adults for elective short surgical procedures. METHODS: Sixty patients of ASA grade 1 and 2 between 15-55 years of age were randomly divided into two groups. After giving standard premedication group A was given injection butorphanol 20 mcg/kg IV and group B injection fentanyl 1.5mcg/kg IV. Both the groups were immediately given propofol 2.5mg/kg IV over 15 seconds until loss of eyelash reflex, after which LMA insertion was performed 60 seconds after injection of propofol. Patients were kept on spontaneous respiration and maintained with isoflurane 0.5%-1.2%, 60%N2O, and 40%O2 along with propofol bolus when required. RESULTS: In our study propofol requirement for LMA insertion was significantly less in butorphanol group and significantly less apnea time was seen with butorphanol (96.66%) as compared to fentanyl (76.66%). The incidence of absolute jaw relaxation was highest in butorphanol (93.33%) and excellent insertion conditions were observed. Best insertion conditions were seen in 92.30% of butorphanol group and 74.15% in fentanyl group. CONCLUSION: The addition of butorphanol to propofol for LMA insertion provides good jaw relaxation and excellent LMA insertion conditions with stable haemodynamics. Side effects like coughing, gagging, lacrimation, and limb movements are lower as compared to the other group. So, butorphanol is a good adjuvant with propofol for LMA insertion during short surgical procedures under general anesthesia.

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Section: Figure 1csupporting

confidence: 86%

“…12 However, higher doses of propofol are used which can cause cardiac depression. cardiorespiratory depressant effects a number of co-induction 13,14,15,16,17 drugs were introduced among which we compared butorphanol and fentanyl.…”

Section: Introductionmentioning

confidence: 99%

FENTANYL & BUTORPHANOL AS CO - INDUCTION AGENTS FOR LMA INSERTION: A COMPARATIVE STUDY

Doshi¹,

Phadtare²,

Ahluwalia³

et al. 2015

jebmh

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show abstract

“…This action of butorphanol can be quite useful in reliving patient's anxiety and hemodymanic alteration arising from pain due to propofol injection before neurosurgical procedures. Previous studies have shown the usefulness of butorphanol during balanced anesthesia [12] and ability of butorphanol to provide more suitable LMA insertion condition than fentanyl [13]. In spite of all these advantages unfortunately butorphanol has not gained popularity in neurosurgical anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Propofol Requirement during Propofol and Butorphanol Anesthesia with and without Nitrous Oxide in Short Duration Intracranial Surgeries: A Bispectral Index Guided Study

Dube¹,

Dubey²,

Mishra³

2012

J Anesthe Clinic Res

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“…[5] The co-induction with butorphanol and thiopentone produced excellent LMA insertion conditions compared to fentanyl and thiopentone. [13]…”

Section: Discussionmentioning

confidence: 99%

Comparison of two regimes of thiopental and propofol for I-gel supraglottic airway device insertion

Amr

Amin

2010

Anesth Essays Res

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Background:The I-gel mask is a novel supraglottic airway device. The objective of this study is to compare the insertion conditions for I-gel, using thiopental in two dosage regimes and propofol.Materials and Methods:A prospective, randomized, double-blind design was used. Ninety patients included in the study were classified at induction into group I that received intravenous 2.5 mg.Kg-1 propofol, group II that received 6 mg.Kg-1 thiopental and group III that received 7 mg.Kg-1 thiopental. Mean arterial blood pressure (MABP) and heart rate (HR) were recorded immediately before, after insertion and 5 minutes later, as well as the baseline hemodynamic variables. Tolerance of I-gel insertion was assessed using a scoring system.Results:Insertion conditions for I-gel supraglottic airway device showed significantly higher incidence of jaw relaxation (P=0.0008, 0.02 in groups I and III, respectively). No significant difference was found in the incidence of breath holding, lacrimation and stridor between the groups (P>0.05). The incidence of coughing/movement was significantly less in groups I and III (P=0.012, 0.04, respectively). Insertion time was significantly less in groups I and III (P<0.0001). The changes in MABP and HR were significantly less in groups I and III (P<0.0001).Conclusion:The use of thiopental at a dose of 7 mg.Kg-1 as an induction agent produced comparable I-gel supraglottic airway device insertion conditions with 2.5 mg.Kg-1 propofol in comparison to thiopental at 6 mg.Kg.-1.

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Comparison of butorphanol and thiopentone vs fentanyl and thiopentone for laryngeal mask airway insertion

Cited by 15 publications

References 14 publications

FENTANYL & BUTORPHANOL AS CO - INDUCTION AGENTS FOR LMA INSERTION: A COMPARATIVE STUDY

FENTANYL & BUTORPHANOL AS CO - INDUCTION AGENTS FOR LMA INSERTION: A COMPARATIVE STUDY

Propofol Requirement during Propofol and Butorphanol Anesthesia with and without Nitrous Oxide in Short Duration Intracranial Surgeries: A Bispectral Index Guided Study

Comparison of two regimes of thiopental and propofol for I-gel supraglottic airway device insertion

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